| NPI | 1659873727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN WATERHOUSE Psychologist 515-631-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-01-30 |